Active NPI
Brennan Commerford, D.C.
- Chiropractor
- Overland Park, KS
National Provider Identifier
1073949228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05576
- Practice address
- 10628 W 87TH St
Overland Park, KS 66214 - Phone
- (913) 307-0733
- Fax
- (855) 691-8992
- NPI assigned
- Sep 19, 2013
- Last updated
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 0105576 | KS | |
| Chiropractor | 111N00000X | 01-05576 | KS | Primary |
Addresses
Primary practice location
10628 W 87TH St
Overland Park, KS 66214
Mailing address
10628 W 87TH St
Overland Park, KS 66214-1651
Phone (913) 307-0733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05576 | KS | MD | Chiropractor |
| 0105576 | KS | MD | Internist Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internist Chiropractor
- Overland Park, KS
- NPI 1811485386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1073949228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10628 W 87TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662141651",
"telephone_number": "913-307-0733",
"fax_number": "855-691-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 W 87TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66214",
"telephone_number": "913-307-0733",
"fax_number": "855-691-8992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMMERFORD",
"first_name": "BRENNAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "KS",
"license": "0105576",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
- Columbia Health Facilities-Cambridge,LLC (Stratford Commons Memory Care Community)
- Columbus Park, LLC
- Jonathan Comer, LPT
- Comfort Care Solutions
- Comfort Chiropractic and Wellness LLC
- David Charles Commerford, D.C.
- Communication and Connection Therapy (C&C Therapy)
- Community Counseling Services, Inc.
- Community Disability Network
- Community Disability Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.